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Individual

LINDSEE JO WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3792 OLD ELM DR SE, KENTWOOD, MI 49512-9506
(616) 915-0460
Mailing address
3792 OLD ELM DR SE, KENTWOOD, MI 49512-9506
(616) 915-0460

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001473
MI
103K00000X
Behavior Analyst
MI

Other

Enumeration date
12/05/2018
Last updated
08/25/2025
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